Active NPIIndividual provider

Amanda Mckenzie, PA-C

Physician Assistant, Medical in Fairfield, Connecticut

NPI Number1629506092
Practice location
75 Kings Highway Cutoff, Fairfield, CT 06824-5340
Fax
—
Last updated
October 2, 2019

Amanda Mckenzie is a Physician Assistant, Medical based in Fairfield, CT. Amanda Mckenzie practices in Fairfield, CT and has the professional credentials of PA-C. The NPI Number for Amanda Mckenzie is 1629506092 and holds a License No. 3870 (CT). The current practice location address for Amanda Mckenzie is 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 and can be reached out via phone at 203-333-1133.

Provider Profile Details

NPI Number
1629506092
Provider Name
Amanda Mckenzie
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
75 Kings Highway Cutoff, Fairfield, CT 06824-5340
Phone Number
203-333-1133
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
May 30, 2017
Last Update Date
October 2, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Kings Highway Cutoff
Fairfield, CT 06824-5340
Zip
06824-5340
Phone Number
203-333-1133
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
65 Glen St
Berlin, CT 06037-2022
City
Berlin
State
CT
Zip
06037-2022

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
3870
License State (2)
CT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda Mckenzie, PA-C?

The NPI number of Amanda Mckenzie, PA-C is 1629506092. It was assigned on May 30, 2017 and is currently active in the NPPES registry.

What is the specialty of Amanda Mckenzie, PA-C?

Amanda Mckenzie, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 3870.

Where does Amanda Mckenzie, PA-C practice?

The practice location is 75 Kings Highway Cutoff, Fairfield, CT 06824-5340. The office can be reached at 203-333-1133 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629506092 directly on the NPPES registry website.

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